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The aging physician and surgeon
Robert T Sataloff1, Mary Hawkshaw, Joshua Kutinsky
1Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, 219 N. Broad St., 10th Fl., Philadelphia, PA 19107, USA. RTSataloff@PhillyENT.com.
Ear, Nose, & Throat Journal
|May 4, 2016
Summary
Assessing aging physicians' cognitive function is crucial. Longitudinal studies correlating cognitive tests with performance are needed to ensure patient safety and physician well-being.
Area of Science:
- Geriatric Medicine
- Neuropsychology
- Medical Education
Background:
- The aging physician population necessitates reliable methods for assessing cognitive function.
- Current evaluation systems for cognitive decline in physicians are not widely accepted or utilized.
- Existing literature on geriatric physicians and aging pilots highlights the need for improved assessment strategies.
Purpose of the Study:
- To review existing literature on evaluating cognitive function in aging physicians and pilots.
- To propose a reduced neuropsychological evaluation protocol for longitudinal research.
- To emphasize the need for valid, reliable, and longitudinal cognitive assessments correlated with clinical performance.
Main Methods:
- Literature review using MEDLINE, PubMed, and other sources.
- Summarization of articles on geriatric physician evaluation and aging pilot assessments.
- Analysis of neuropsychological cognitive test protocols.
Main Results:
- Several articles discuss cognitive function in aging physicians and pilots, with some institutions implementing evaluations.
- No longitudinal data currently exist that track physician cognitive function over time or correlate it with performance.
- A reduced evaluation protocol is proposed for future interdisciplinary research.
Conclusions:
- Valid and reliable cognitive function testing for physicians is essential.
- Longitudinal testing from a young age, correlated with performance, is required to understand predictive value.
- Multi-institutional studies assessing cognitive function, manual dexterity, and frailty are recommended.
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